| David Theodore Walters, LPCC-S | |
|
25111 Country Club Blvd, Suite 290, North Olmsted, OH 44070-5345 | |
| (216) 831-6611 | |
| (216) 831-2726 |
| Full Name | David Theodore Walters |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 25111 Country Club Blvd, North Olmsted, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275858326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.0602193-SUPV (Ohio) | Primary |
| Entity Name | Psychological & Behavioral Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20040405000363 |
| Mailing Address | Practice Location Address |
|---|---|
| David Theodore Walters, LPCC-S 24800 Highpoint Rd, Suite B, Beachwood, OH 44122-6052 Ph: (216) 831-6611 | David Theodore Walters, LPCC-S 25111 Country Club Blvd, Suite 290, North Olmsted, OH 44070-5345 Ph: (216) 831-6611 |
Kailey Vilyus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25111 Country Club Blvd Ste 290, North Olmsted, OH 44070 Phone: 216-468-5002 |
Ashley L Powell, LISW Counselor Medicare: Not Enrolled in Medicare Practice Location: 25111 Country Club Blvd Ste 290, North Olmsted, OH 44070 Phone: 216-468-5002 |
Mr. Douglas Michael Winston, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 26777 Lorain Rd Ste 310, North Olmsted, OH 44070 Phone: 216-389-4098 |
Barbara A Reitman, LISW Counselor Medicare: Accepting Medicare Assignments Practice Location: 26777 Lorain Road, #308, North Olmsted, OH 44070 Phone: 440-716-2222 Fax: 440-716-1954 |
Kenneth Trivison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25111 Country Club Blvd, Suite 290, North Olmsted, OH 44070 Phone: 440-614-2520 Fax: 440-614-2526 |
Meagan Prost, LPCC-S Counselor Medicare: Accepting Medicare Assignments Practice Location: 4597 Great Northern Blvd # 210, North Olmsted, OH 44070 Phone: 216-570-6473 |
Ms. Joan M Marquard, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 25111 Country Club Blvd, 290, North Olmsted, OH 44070 Phone: 440-614-2520 Fax: 440-614-2526 |